C10004603 / invoice 10000

Reason: Skin Appointment Notes: -ksHistory: had usual cytopoint 40mgs 5-6 weeks ago, each time we see dog for skin usually has needed a cytopopint - would they like to just have a nurse cytopoint and see if settles down?Mr O brought in Mojo tyoday (mrs o had sounded very concnerned on the phone)Physical Examination: thick yellow collarrettes ventral groin and belly and medial thighs where skin is moderately erythematousGreasey feel thru dordsal trunk coat and dried white flakes like dandruff indicative of seborrheic dermatitis here but this is nonerytgematous and no collarrettes, feet mildly pink, ear medial pinnae bilaterally nadTreatment: cytopoint 40mgs s/cPlan:  recc malaseb tapering frequency bathing, and 10 days cephalexin for superficial pyoderma/bacterial disease evident by collarrettesVacc in may before travels around australiaOk for cytopoijt again after 4 weeks when needed but best to see vet if scale and collarrettes/scabs dont dissipate/respond to abs and washing    Vital Signs    Weight: 29.8;